Absence of adjuvant radiotherapy may be an additional criteria in diagnosing a branchiogenic squamous cell carcinoma: A case report

Alexandre Anesi, Giuseppe Pollastri, Vincenzo Bondì, Sara Barberini, Luigi Chiarini

Section of Cranio-Maxillo-Facial Surgery, Department of Head and Neck Surgery, University Hospital of Modena, Modena, Italy.
Section of Oral and Maxillofacial Surgery, Department of Surgery, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.

DOI: 10.4236/ojst.2012.21012                

Abstract

Branchiogenic carcinoma is extremely rare. The majority of branchiogenic carcinomas are cystic metastases originating in the tonsils, and not true carcinomas arising in a branchial cleft cyst. Isolated cystic neck lesions necessitate a thorough search for a primary tumor, as with other occult primaries presenting with cervical metastases. As the existence of primary branchiogenic carcinoma is controversial, Martin and colleagues and then Khafif and coworkers established a series of widely accepted criteria to recognize this type of carcinoma. We report a case of a large cervical mass, consistent with a branchiogenic carcinoma of the second branchial arch. The patient underwent excision of the neck mass through a radical neck dissection. The cyst wall was found to have squamous cell carcinoma arising from the benign epithelium. Follow-up at 7 years revealed no evidence of recurrence. All diagnostic criteria for a true branchiogenic carcinoma were met in this case. The absence of adjuvant irradiation is a further confirmation that the mass is not a cystic node metastasis but a carcinoma arised from within a branchial cleft cyst.

Keywords

Branchial Cleft Cyst; Branchial Cyst; Branchiogenic Carcinoma; Malignant Branchioma; Cystic Cervical Lymph Node Metastasis

Conflicts of Interest

The authors declare no conflicts of interest.

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